Effect of a Core Strengthening Program on Diastasis Rectus Abdominus in Postpartum Women
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 56
- 试验地点
- 1
- 主要终点
- Change in inter-recti distance (IRD)
研究概览
简要总结
This study will prospectively measure the effectiveness of a core strengthening program on reducing the inter-rectus distance (IRD) and abdominal wall muscle contraction in postpartum women with diastasis rectus abdominus (DRA). Additionally, this study will aim to investigate and clarify the association between IRD and low back pain.
详细描述
DRA is a separation of the abdominal wall muscles that commonly occurs during pregnancy and is caused by the stretching of the linea alba to accommodate a growing fetus. Separation of core muscles is thought to be factor in postpartum low back pain, stress urinary incontinence, and core strength, as well as being cosmetically undesirable. This study will evaluate the effect of a core strengthening program on shortening the IRD and improving the connectivity and strength of abdominal wall muscles in postpartum women with a DRA. It will also investigate the relationship between IRD and low back pain.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Healthy women who have given birth within the last 36 months but are at least 12 weeks postpartum
- •Not currently pregnant
- •Current DRA diagnosed using ultrasound with an IRD of at least 2.0 cm
排除标准
- •History of ventral/umbilical hernia prior to pregnancy
- •>36 months postpartum
- •Currently pregnant
- •Beighton's score >5/9
- •Unable to participate in a regular core strengthening program
- •Unable to attend the three data collection sessions
研究组 & 干预措施
Core Strengthening Exercise Intervention
All subjects will participate in the study for a total of 24 consecutive weeks. During the first 12 weeks, subjects will participate in weekly online exercise classes for Core Muscle Strength training and will be asked to perform daily homework assignments. Following completion of the 12-week intervention, subjects will be asked to continue the exercises on their own.
干预措施: Core Muscle Strength Training (Other)
Control+Core Strengthening Exercise
All subjects will participate in the study for a total of 24 weeks. During the first 12 weeks, subjects will serve as the control group, and they will be advised to continue their baseline level of exercise and lifestyle. During the subsequent 12 weeks, subjects will participate in the exact same program as Group A performed during the first 12 weeks (Core Muscle Strength Training).
干预措施: Core Muscle Strength Training (Other)
结局指标
主要结局
Change in inter-recti distance (IRD)
时间窗: Up to 24 weeks
Change in IRD will be measured using palpation and musculoskeletal ultrasound.
次要结局
- Stress urinary incontinence(Up to 24 weeks)
- Abdominal wall muscle function(Up to 24 weeks)
- Body image(Up to 24 weeks)
- Low back pain(Up to 24 weeks)
- Pelvic function(Up to 24 weeks)